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Individual

PETER SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1048 WILDWOOD CENTRE DR, COLUMBIA, SC 29229-8420
(803) 999-3752
Mailing address
181 W PROFESSIONAL PARK CT STE 1, BOWLING GREEN, KY 42104-3250
(270) 777-9283
(270) 777-9283

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
17-37071
SC

Other

Enumeration date
04/04/2018
Last updated
04/04/2018
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